| NPI | 1053349001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA BERT CFO 954-847-4117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology |
| Additional Taxonomies | 208000000X Pediatrics |
| 2080P0205X Pediatrics Pediatric Endocrinology | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2025-03-25 |